Regards croisés sur la place du médecin généraliste dans la prise en charge des patients atteints de cancer bronchique : le médecin généraliste, le spécialiste et le patient lui-même

Abstract : Introduction: lung cancer is a major public health problem due to a very significant frequency, a bad prognosis and the hospitalisations and emergency consultations it often requires. Aims: depicting the perceptions of specialists, general practitioners (GP) and patients of the role of GP in lung cancer. Comparing these perceptions to the role of the GP described in the French state health plan regarding cancer care. Method: multicentric and observational qualitative study using semi-guided individual interviews conducted between June 2016 and September 2017. The recruitment was done from 3 oncology centres in Ile de France. In total, 8 specialists, 8 GP and 11 patients were interviewed until data saturation. Interviews were analysed thematically and cross-analysed. Results: all the three actors agreed the GP has a principal role at the beginning of the care, and after the cessation of the active treatments. However, due to a number of reasons, GP’s role became less central during the treatment period itself. All the actors expected a better collaboration and transmission of information between them. Discussion: unlike the position of the French sate health plan about cancer care, GP is not the principal actor during all stages of lung cancer care. The decline of GP’s role during active treatments can lead to a lack of care continuity. Possible solutions to increase collaboration and information between GP and hospital teams could be direct numbers to rich specialists, email, or digital tools and therefore allow to a better care and quality of life for patients.
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Master Thesis
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Laura Borgel. Regards croisés sur la place du médecin généraliste dans la prise en charge des patients atteints de cancer bronchique : le médecin généraliste, le spécialiste et le patient lui-même. Médecine humaine et pathologie. 2018. ⟨dumas-01927197⟩

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